{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:08:37Z","timestamp":1788480517008,"version":"build-2803163510"},"reference-count":16,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:00:00Z","timestamp":1686096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Left ventricular outflow tract obstruction (LVOTO) is a common cardiogenic shock (CS) mimic. We present 3 cases of patients presenting with CS following myocardial infarction, exhibiting a poor response to conventional treatment with inotropy and mechanical circulatory support. This triggered echocardiographic assessment by critical care physicians using focused 2-dimensional (2D) echocardiography. This timely assessment identified anterior mitral valve leaflet entrainment into the left ventricular outflow tract (LVOT), causing LVOTO as the underlying shock mechanism. Echocardiographic findings have led to significant changes in management. The patients underwent fluid administration, weaning from inotropy, and mechanical circulatory support explantation, leading to relief of LVOTO and improved hemodynamics. Critical care basic 2D echocardiography accreditations focus on myocardial function and pericardial effusions. Relevant societies administering these accreditations should consider adding LVOT assessment to enable timely diagnosis of this life-threatening CS mimic.<\/jats:p>","DOI":"10.1177\/08850666231180814","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T02:16:21Z","timestamp":1686190581000},"page":"897-902","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The Role of Focused 2-Dimensional Echocardiography in Managing Left Ventricular Outflow Tract Obstruction Mimicking Cardiogenic Shock"],"prefix":"10.1177","volume":"38","author":[{"given":"Julia","family":"Harrington","sequence":"first","affiliation":[{"name":"Adult Critical Care Unit, Barts Heart Centre, St Bartholomew's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Aron","sequence":"additional","affiliation":[{"name":"Adult Critical Care Unit, St George's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5630-3065","authenticated-orcid":false,"given":"Hazem","family":"Lashin","sequence":"additional","affiliation":[{"name":"Adult Critical Care Unit, Barts Heart Centre, St Bartholomew's Hospital, London, UK"},{"name":"William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,7]]},"reference":[{"key":"bibr1-08850666231180814","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.18323"},{"key":"bibr2-08850666231180814","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000985"},{"key":"bibr3-08850666231180814","unstructured":"FUSIC heart, Intensive Care Society UK. https:\/\/www.ics.ac.uk\/Society\/Learning\/FUSIC\/Modules\/FUSIC_Heart.aspx"},{"key":"bibr4-08850666231180814","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3228-5"},{"key":"bibr5-08850666231180814","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.711697"},{"key":"bibr6-08850666231180814","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8175.2001.00291.x"},{"issue":"3","key":"bibr7-08850666231180814","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/echo.14989","volume":"38","author":"Fujiwara M","year":"2021","journal-title":"Echocardiography"},{"key":"bibr8-08850666231180814","unstructured":"College of Intensive Care Medicine of Australia and New Zealand. 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